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Showing results for "culture of safety".

9461. Critical Radiology Alert Process | PSNet
      psnet.ahrq.gov/innovation/critical-radiology-alert-process
      November 16, 2022 - to what a patient presents to the ED for, are an important patient safety issue. 1 In fact, up to 27% … Some, however, have implemented other solutions to this important patient safety issue. … Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Promote a culture … of safety with good catch reports. … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

9462. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33621/psn-pdf
      November 01, 2005 - In addition to improving patient outcomes, RRTs may have other salutary effects on the hospital culture … patient safety, (iii) involvement of the primary team or https://psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov … Again, this is a bit of a data-free zone, and I believe that local culture will determine the "goodness … Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac … Med. 1994;22:244-247. [ go to PubMed ] 7.Committee on the Work Environment for Nurses and Patient Safety

9463. Progress in interoperability: measuring US hospitals' engagement in sharing patient data. | PSNet
      psnet.ahrq.gov/issue/progress-interoperability-measuring-us-hospitals-engagement-sharing-patient-data
      March 27, 2024 - safety. … March 17, 2021 Assessing the safety of electronic health records: a national longitudinal … May 2, 2018 Examining the relationship of an all-cause harm patient safety measure and … safety event reports. … record safety.

9464. Improving Diagnostic Safety and Quality | PSNet
      psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
      January 31, 2024 - Recognition of the multifactorial contributors to diagnostic safety spans back almost 20 years with Dr … diagnostic safety; the NASEM definition also includes failure to communicate an explanation of the patient … However, reducing misdiagnoses may require changing a healthcare organization’s institutional culture … A systematic review of diagnostic safety checklists exposed gaps in the way these checklists are used … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

9465. Adverse event rates as measures of hospital performance. | PSNet
      psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
      July 29, 2020 - Adverse event rates as measures of hospital performance. … November 25, 2020 Sequential implementation of the EQUIPPED geriatric medication safety … a patient safety event. … September 24, 2014 Prevalence and severity of patient harm in a sample of UK-hospitalised … Part 2: a review of strategies and activities for improving medication safety 2002-2008.

9466. Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies
      October 12, 2022 - data access and collaboration as strategies to enhance policy supporting technology development and safety … Safety: Implications for Research, Practice, and Policy. … March 1, 2017 Technical Evaluation, Testing, and Validation of the Usability of Electronic … Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines … November 27, 2013 Health IT Patient Safety Action and Surveillance Plan.

9467. Medical simulation gets real. | PSNet
      psnet.ahrq.gov/issue/medical-simulation-gets-real
      June 14, 2023 - study combining Safety I and Safety II analysis. … December 20, 2023 Impact of a daily huddle on safety in perioperative services. … July 17, 2024 Analysis of a medication safety intervention in the pediatric emergency … journals harms care for patients of color. … ) to assess socio-cultural dimensions of patient safety competency.

9468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48037/psn-pdf
      May 29, 2019 - The approach suggests actions at five levels: physical and mental health; safety and security; respect … impact-fatigue-and-insufficient-sleep-physician-and-patient-outcomes-systematic-review https://psnet.ahrq.gov/issue/perspective-culture-respect-part

9469. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48087/psn-pdf
      July 10, 2019 - The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes … The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes … Nontechnical skills, such as teamwork, communication, and leadership, are essential human-centered components of … impact-nontechnical-skills-technical-performance-surgery-systematic-review https://psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety-improvement

9470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34907/psn-pdf
      August 03, 2009 - Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? … Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? … physicians-views-interventions-reduce-medical-errors-does-evidence- effectiveness-matter As patient safety … whether an association existed between the evidence behind a given intervention and the perception of … The authors conclude with a number of suggestions for better translation of evidence into adopted practice

9471. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/856631/psn-pdf
      November 29, 2023 - Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically … Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically … This qualitative study involving clinicians and patient safety professionals explored challenges responding … Participants identified multilevel challenges, including fragmentation of care and patient mistrust

9472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43426/psn-pdf
      July 03, 2016 - discussing-undiscussable-powerful-why-and-how-faculty-must-learn-counteract-organizational https://psnet.ahrq.gov/issue/integrating-patient-safety-health-professionals-curricula-qualitative-study-medical-nursing

9473. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865589/psn-pdf
      April 17, 2024 - https://psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication A strong safety … culture relies on staff formally reporting or speaking up about adverse events (AE), yet valid reasons

9474. Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. | PSNet
      psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
      September 26, 2012 - an objective structured clinical examination to test adherence to Joint Commission National Patient Safety … a number of National Patient Safety Goals . … Of note, the tested interns performed poorly in these metrics. … an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency … January 9, 2014 A study of innovative patient safety education.

9475. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet
      psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
      December 15, 2024 - The basics of disclosing errors to patients are covered in another Patient Safety Primer . … to be limited despite recognition by Patient Safety Officers of the need to support clinicians involved … Culture in Healthcare March 27, 2024 Psychosocial working conditions as determinants … Safety April 21, 2021 Adverse events and burnout: the moderating effects of … workgroup identification and safety climate.

9476. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
      September 16, 2020 - Commentary Patient safety and ethical implications of healthcare sick leave policies … Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. … This commentary discusses the patient safety and ethical considerations of presenteeism during the COVID … Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. … February 9, 2022 Resilience vs. vulnerability: psychological safety and reporting of

9477. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet
      psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
      June 28, 2017 - nurses, allied health professionals and clerical staff perceptions of patient safety. … ) to assess socio-cultural dimensions of patient safety competency. … June 22, 2022 Human factors analysis of latent safety threats in a pediatric critical … safety, and the everyday experience of practice variation. … June 9, 2011 Video capture of clinical care to enhance patient safety.

9478. Changing the work environment in ICUs to achieve patient-focused care: the time has come. | PSNet
      psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
      April 05, 2023 - Nursing and the American College of Chest Physicians, calls for improving patient safety in the intensive … March 13, 2013 Advancing the science of patient safety. … January 23, 2019 Implementation of the safety huddle. … June 1, 2011 The impact of a tele-ICU on provider attitudes about teamwork and safety … May 25, 2010 Intensive care unit nurses' perceptions of safety after a highly specific

9479. All in the History | PSNet
      psnet.ahrq.gov/web-mm/all-history
      February 28, 2011 - As with all transfers of care, this should be done in accordance with the 2008 Patient Safety Goal 2E … [Available at] 6. 2008 National Patient Safety Goals Hospital Program. The Joint Commission. … The Joint Commission Accreditation Program: Ambulatory Health Care National Patient Safety Goals. … 31, 2023 Annual Perspective Improving Diagnostic Safety … a Critically Ill Child August 31, 2022 Patient Safety Innovations

9480. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
      psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
      February 26, 2025 - The first step and the foundation of the I-READI framework is the integration of quality and safety … Just over a week after the identification of the first safety incidents, the team disseminated the … through regular meetings A culture of trust, commitment, teamwork, and flexibility Processes for … communication with frontline clinicians to be aware of real-time safety issues and to be able to respond … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer